Feasibility and Compatibility of Minilaparotomy Hysterectomy in a Low-Resource Setting

Figure 1

Pictorial representation of 2 representative cases of MLH describing important steps of our technique. (a) Approximation of size. (b) Deciding the abdominal incision: a, 4 cms abdominal incision; b, pubic symphysis. (c) Opening the abdomen in layers: c, rectus sheath; d, allis forceps. (d) Stepwise clamping in uterus size up to 12 weeks: e, bulldog clamp for traction; f, hydrosaplinx; g, right-angled retractor. (e) Volume reduction prior to the clamping the pedicles for hysterectomy—in a large uterus: h, debulking procedure. (f) Final retrieved specimen of one of the large uteri (weight: 1.3 kg).

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